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Immediate function of partial fixed rehabilitation with axial and tilted implants having intrasinus insertion.

Identifieur interne : 000C99 ( Ncbi/Merge ); précédent : 000C98; suivant : 000D00

Immediate function of partial fixed rehabilitation with axial and tilted implants having intrasinus insertion.

Auteurs : Enrico Luigi Agliardi ; Stefano Tetè ; Davide Romeo ; Luciano Malchiodi ; Enrico Gherlone

Source :

The Journal of craniofacial surgery [ 1536-3732 ] ; 2014.

RBID : pubmed:24820712

Descripteurs français

English descriptors

KwdEn :
- Aged, Autografts (transplantation), Bone Transplantation (methods), Computer-Aided Design, Dental Implantation, Endosseous (methods), Dental Implants, Dental Plaque Index, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Partial, Fixed, Female, Follow-Up Studies, Humans, Immediate Dental Implant Loading, Jaw, Edentulous, Partially (rehabilitation), Jaw, Edentulous, Partially (surgery), Male, Maxilla (diagnostic imaging), Maxillary Sinus (diagnostic imaging), Maxillary Sinus (surgery), Middle Aged, Periodontal Index, Radiography, Sinus Floor Augmentation (methods), Survival Analysis, Treatment Outcome.
MESH :
- chemical : Dental Implants.
- diagnostic imaging : Maxilla, Maxillary Sinus.
- methods : Bone Transplantation, Dental Implantation, Endosseous, Sinus Floor Augmentation.
- rehabilitation : Jaw, Edentulous, Partially.
- surgery : Jaw, Edentulous, Partially, Maxillary Sinus.
- transplantation : Autografts.
- Aged, Computer-Aided Design, Dental Plaque Index, Dental Prosthesis Design, Dental Prosthesis, Implant-Supported, Denture Design, Denture, Partial, Fixed, Female, Follow-Up Studies, Humans, Immediate Dental Implant Loading, Male, Middle Aged, Periodontal Index, Radiography, Survival Analysis, Treatment Outcome.

Abstract

Implant-supported rehabilitation of the posterior maxilla could be challenging because hyperpneumatization of the maxillary sinus might reduce the bone height. In this study, the authors report preliminary results of a new treatment modality for the partial fixed rehabilitation of posterior maxilla with immediate function by using 1 anterior axial implant and 1 posterior tilted implant with intrasinus mesial insertion. From 2009 to 2011, 10 patients (6 women and 4 men) with missing upper premolars and molars were recruited and treated according to this protocol. Each patient received a partial fixed bridge supported by 1 axial anterior implant and 1 posterior implant placed with a 30-degree mesial inclination and intrasinus insertion. Autologous bone was positioned to fill the maxillary sinus cavity and to cover the exposed implant surface after elevation of the anterior sinus membrane. A prosthesis with immediate function was positioned within 3 hours, whereas a CAD/CAM final restoration was delivered 6 months later. Follow-ups at 6 and 12 months, and then annually, were scheduled. At each follow-up, plaque level and bleeding scores were assessed, and radiographic evaluation of marginal bone level change was performed at 1 year. The patients were followed up for a mean of 50 months (range, 42-57 mo). No implants were lost, and all prostheses were stable and functional, reporting 100% of implant and prosthetic success rates. After 1 year, bone loss had a mean (SD) of 1.0 (0.4) and 0.9 (0.5) mm for axial and tilted implants, respectively, with no statistically significant differences between them (P > 0.05). The preliminary results suggest that this approach could allow the rehabilitation of posterior maxilla with immediate function in case of reduced bone volume, representing an alternative technique to bone grafting, short implants, and zygomatic or pterygoid implants.

DOI: 10.1097/SCS.0000000000000959
PubMed: 24820712

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Le document en format XML

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<author><name sortKey="Romeo, Davide" sort="Romeo, Davide" uniqKey="Romeo D" first="Davide" last="Romeo">Davide Romeo</name>
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<author><name sortKey="Malchiodi, Luciano" sort="Malchiodi, Luciano" uniqKey="Malchiodi L" first="Luciano" last="Malchiodi">Luciano Malchiodi</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Autografts (transplantation)</term>
<term>Bone Transplantation (methods)</term>
<term>Computer-Aided Design</term>
<term>Dental Implantation, Endosseous (methods)</term>
<term>Dental Implants</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Jaw, Edentulous, Partially (rehabilitation)</term>
<term>Jaw, Edentulous, Partially (surgery)</term>
<term>Male</term>
<term>Maxilla (diagnostic imaging)</term>
<term>Maxillary Sinus (diagnostic imaging)</term>
<term>Maxillary Sinus (surgery)</term>
<term>Middle Aged</term>
<term>Periodontal Index</term>
<term>Radiography</term>
<term>Sinus Floor Augmentation (methods)</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Autogreffes (transplantation)</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Maxillaire (imagerie diagnostique)</term>
<term>Mâchoire partiellement édentée ()</term>
<term>Mâchoire partiellement édentée (rééducation et réadaptation)</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux ()</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Radiographie</term>
<term>Rehaussement du plancher du sinus ()</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire ()</term>
<term>Sinus maxillaire (imagerie diagnostique)</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse ()</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" type="chemical" xml:lang="en"><term>Dental Implants</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Maxilla</term>
<term>Maxillary Sinus</term>
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<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Maxillaire</term>
<term>Sinus maxillaire</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Bone Transplantation</term>
<term>Dental Implantation, Endosseous</term>
<term>Sinus Floor Augmentation</term>
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<keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Mâchoire partiellement édentée</term>
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<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Jaw, Edentulous, Partially</term>
<term>Maxillary Sinus</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Autografts</term>
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<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Computer-Aided Design</term>
<term>Dental Plaque Index</term>
<term>Dental Prosthesis Design</term>
<term>Dental Prosthesis, Implant-Supported</term>
<term>Denture Design</term>
<term>Denture, Partial, Fixed</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Humans</term>
<term>Immediate Dental Implant Loading</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Periodontal Index</term>
<term>Radiography</term>
<term>Survival Analysis</term>
<term>Treatment Outcome</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Autogreffes</term>
<term>Conception assistée par ordinateur</term>
<term>Conception d'appareil de prothèse dentaire</term>
<term>Conception de prothèse dentaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Implants dentaires</term>
<term>Indice de plaque dentaire</term>
<term>Indice parodontal</term>
<term>Mâchoire partiellement édentée</term>
<term>Mâle</term>
<term>Pose d'implant dentaire endo-osseux</term>
<term>Pose immédiate d'implant dentaire</term>
<term>Prothèse dentaire implanto-portée</term>
<term>Prothèse partielle fixe</term>
<term>Radiographie</term>
<term>Rehaussement du plancher du sinus</term>
<term>Résultat thérapeutique</term>
<term>Sinus maxillaire</term>
<term>Sujet âgé</term>
<term>Transplantation osseuse</term>
<term>Études de suivi</term>
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<front><div type="abstract" xml:lang="en">Implant-supported rehabilitation of the posterior maxilla could be challenging because hyperpneumatization of the maxillary sinus might reduce the bone height. In this study, the authors report preliminary results of a new treatment modality for the partial fixed rehabilitation of posterior maxilla with immediate function by using 1 anterior axial implant and 1 posterior tilted implant with intrasinus mesial insertion. From 2009 to 2011, 10 patients (6 women and 4 men) with missing upper premolars and molars were recruited and treated according to this protocol. Each patient received a partial fixed bridge supported by 1 axial anterior implant and 1 posterior implant placed with a 30-degree mesial inclination and intrasinus insertion. Autologous bone was positioned to fill the maxillary sinus cavity and to cover the exposed implant surface after elevation of the anterior sinus membrane. A prosthesis with immediate function was positioned within 3 hours, whereas a CAD/CAM final restoration was delivered 6 months later. Follow-ups at 6 and 12 months, and then annually, were scheduled. At each follow-up, plaque level and bleeding scores were assessed, and radiographic evaluation of marginal bone level change was performed at 1 year. The patients were followed up for a mean of 50 months (range, 42-57 mo). No implants were lost, and all prostheses were stable and functional, reporting 100% of implant and prosthetic success rates. After 1 year, bone loss had a mean (SD) of 1.0 (0.4) and 0.9 (0.5) mm for axial and tilted implants, respectively, with no statistically significant differences between them (P > 0.05). The preliminary results suggest that this approach could allow the rehabilitation of posterior maxilla with immediate function in case of reduced bone volume, representing an alternative technique to bone grafting, short implants, and zygomatic or pterygoid implants.</div>
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<Abstract><AbstractText>Implant-supported rehabilitation of the posterior maxilla could be challenging because hyperpneumatization of the maxillary sinus might reduce the bone height. In this study, the authors report preliminary results of a new treatment modality for the partial fixed rehabilitation of posterior maxilla with immediate function by using 1 anterior axial implant and 1 posterior tilted implant with intrasinus mesial insertion. From 2009 to 2011, 10 patients (6 women and 4 men) with missing upper premolars and molars were recruited and treated according to this protocol. Each patient received a partial fixed bridge supported by 1 axial anterior implant and 1 posterior implant placed with a 30-degree mesial inclination and intrasinus insertion. Autologous bone was positioned to fill the maxillary sinus cavity and to cover the exposed implant surface after elevation of the anterior sinus membrane. A prosthesis with immediate function was positioned within 3 hours, whereas a CAD/CAM final restoration was delivered 6 months later. Follow-ups at 6 and 12 months, and then annually, were scheduled. At each follow-up, plaque level and bleeding scores were assessed, and radiographic evaluation of marginal bone level change was performed at 1 year. The patients were followed up for a mean of 50 months (range, 42-57 mo). No implants were lost, and all prostheses were stable and functional, reporting 100% of implant and prosthetic success rates. After 1 year, bone loss had a mean (SD) of 1.0 (0.4) and 0.9 (0.5) mm for axial and tilted implants, respectively, with no statistically significant differences between them (P > 0.05). The preliminary results suggest that this approach could allow the rehabilitation of posterior maxilla with immediate function in case of reduced bone volume, representing an alternative technique to bone grafting, short implants, and zygomatic or pterygoid implants.</AbstractText>
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<ForeName>Enrico Luigi</ForeName>
<Initials>EL</Initials>
<AffiliationInfo><Affiliation>From the *Department of Dentistry, Vita Salute University, San Raffaele Hospital, Milano, Italy; †Department of Medical, Oral and Biotechnological Sciences, University "G. d'Annunzio," Chieti, Italy; and ‡Clinica di Chirurgia Maxillo-Facciale e Odontostomatologia, Università degli Studi di Verona.</Affiliation>
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<name sortKey="Malchiodi, Luciano" sort="Malchiodi, Luciano" uniqKey="Malchiodi L" first="Luciano" last="Malchiodi">Luciano Malchiodi</name>
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Immediate function of partial fixed rehabilitation with axial and tilted implants having intrasinus insertion.

Immediate function of partial fixed rehabilitation with axial and tilted implants having intrasinus insertion.

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